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DEVELOPMENT AND VALIDATION OF THE AMBULANCE NURSE COMPETENCE SCALE
Karlstad Univ, Fac Hlth Sci & Technol, Dept Hlth Sci, Univ Gatan 2, SE-65188 Karlstad, Sweden.;Sophiahemmet Univ, Dept Hlth Promot Sci, Stockholm, Sweden..
Karlstad Univ, Fac Hlth Sci & Technol, Dept Hlth Sci, Univ Gatan 2, SE-65188 Karlstad, Sweden..
Hgsk Innlandet, Dept Nursing, Hedmark, Norway..
Karlstad Univ, Fac Hlth Sci & Technol, Dept Hlth Sci, Univ Gatan 2, SE-65188 Karlstad, Sweden.;Hgsk Innlandet, Dept Nursing, Hedmark, Norway..
2020 (English)In: Journal of Emergency Nursing, ISSN 0099-1767, E-ISSN 1527-2966, Vol. 46, no 1, p. 34-43Article in journal (Refereed) Published
Abstract [en]

Introduction: In recent decades, major competency shifts have taken place in prehospital care in Sweden because staffing ambulances with registered/specialized nurses has become a priority. The aim of this study was to develop and validate a new instrument to measure the self-reported professional competency of specialist ambulance nursing students and registered/specialist nurses working in prehospital care. Methods: This study used a quantitative cross-sectional design to evaluate psychometric properties of a new instrument. The sample included 179 registered/specialist ambulance nurses and 34 specialist ambulance nursing students. Results: The analyses resulted in the Ambulance Nurse Competence (ANC) scale, consisting of 43 items and covering 8 factors: Nursing Care (n = 8), Value-based Nursing Care (n = 5), Medical Technical Care (n = 5), Care Environment's Community (n = 4), Care Environment's Serious Events (n = 8), Leadership Management (n = 3), Supervision and Professional Conduct (n = 4), and Research and Development (n = 6). All factors except Leadership Management achieved a Cronbach's alpha value greater than 0.71, explaining 59.62% of the total variance. Discussion: The ANC scale was systematically tested and showed satisfactory psychometrical properties. The ANC scale can be used in the education programs of future registered/specialist ambulance nurses as a tool for self-reflected learning and could also be of potential use in identifying competence gaps in registered/specialist ambulance nurses, which could direct the design of introductory programs. The scale could also be used as an outcome measure together with other instruments.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE INC , 2020. Vol. 46, no 1, p. 34-43
Keywords [en]
Ambulance nurse, Competencies, Prehospital, Psychometric properties, Scale development, Specialist nurse
Identifiers
URN: urn:nbn:se:kau:diva-76443DOI: 10.1016/j.jen.2019.07.019ISI: 000505931000008PubMedID: 31685336OAI: oai:DiVA.org:kau-76443DiVA, id: diva2:1388018
Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2020-01-23

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